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Maintenance Request Form

For any external damage / scratches / minor dents / touch up jobs (use accident report format instead) Company Name Employee Name Vehicle Make / Model Date of Repair Requested Alternate Date Request Workshop Appointment Date Name
(from who to pick the vehicle)

Caterpillar India Private Limited Kamardeen Nazurudeen Toyota Liva/2012 18-May-12 19-May-12

ALD Contract No. Date of Delivery Registration No. Door to Door Service
(If Applicable)

14496 26-Apr-12 TN07 BR0473 Yes 10.00 AM 1005 9003060811/9840595351

Pick Time Present Kms

Kamardeen Nazurudeen 2/227,Pasumpon Street Palavakkam,Chennai-600041

Contact Numbers
(Office, Residence, Cell No, Email)

Address for Pick

Address for Return


(Same unless mentioned otherwise)

Attention required (Mention PUC if Due)

Pickup Date Time Odometer Fuel


ALD Sign Cust. Sign Additional Items / Accessories - Inventory 1 2 3

Vehicle Inventory Drop

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ATTENTION
Ensure that sufficient fuel is available for the visit to the workshop for repairs Make sure all personal belongings, valuables including stereo panel , ALD kit are taken out before handing over the vehicle. Service guide, Warranty booklet must always be kept in the vehicle Hand over filled up copy and Fleet card provided with this kit to the ALD pick up person taking his signature at the time of handing over and accepting the car. This will only help us to serve you better Any observations otherwise may immediately be brought to the notice of ALD

For Internal Use Only


Maintenance Relief Car (If Applicable) Workshop Name & Location Contact Person Expected Delivery Date Actual Delivery Date Estimate Amount Yes / No Yes / No Relief Car Category Insurance Company PDLW Tel No. Fax No. Mobile No. Approved Amount Yes / No

ALD Road Side Assistance No :1800 - 102 - 8100

0124 - 4278181
(Round the Clock)

ALD Toll Free No : 1800 - 209 - 5253 [Mon to Fri Time 0900 - 1730 hrs]

Fax : Mumbai - 022 6193 3213 Delhi - 011 4661 3222 Bangalore - 080 4061 3248 Hyderabad - 040 2335 5990 Email : lets.drivetogether@aldautomotive.com Web: www.aldautomotive.co.in

MAINTENANCE REPAIRS
Following is a brief explanation on the way the maintenance service shall be handled depending upon your contract ALD Assured : While booking the car in, please fill out the Maintenance Request Form , indicating the nature of the work and fax or email it to respective ALD office at least two (2) days prior to the date of repair. You are required to provide the Vehicle Owners Manual and Service booklet when the vehicle is

MAINTENANCE REPAIRS
Following is a brief explanation on the way the maintenance service shall be handled depending upon your contract ALD Assured : While booking the car in, please fill out the Maintenance Request Form , indicating the nature of the work and fax or email it to respective ALD office at least two (2) days prior to the date of repair. You are required to provide the Vehicle Owners Manual and Service booklet when the vehicle is sent to the workshop. All expenses towards maintenance repairs, except certain exclusions as mentioned below shall be borne by ALD. Cashless facility is at following locations only: NCR, Kolkatta, Bangalore, Hyderabad, Chennai, Mumbai, Navi Mumbai, Thane, Pune For other locations, Cashless facility is not available and hence you are required to settle the bill directly with the repairer. Make sure that the bill is drawn in the name of ALD Automotive Pvt Ltd and send it through your coordinator for subsequent reimbursement by ALD. User to Pay Facility: You have to pay directly to the repairer/dealer and settle the bill. Copy of the bill then needs to be sent to ALD for records.

Expenses while traveling outside the contract area (refer the ALD Service Guide for more details) Contracted area is the general area in which the vehicle was originally put to use. If the nature of repair is major or if the expected invoice amounts are high, you should contact ALD or its emergency assistance to obtain advice for repair. In the case of mechanical repair, the invoice should be an original, made out in the name of ALD Automotive Private Ltd and bear the repairers VAT number if applicable. Only those costs necessarily incurred for putting the vehicle back on road or that which makes the vehicle safe for use shall be reimbursed. Note: Check the vehicle thoroughly both at the time of handing over the vehicle and at the time of its return. Ensure that the odometer reading and fuel level is recorded properly. Any shortcomings must be brought to the notice of ALD by the next working day. Take out personal belongings, stereo panel, etc before handing over the vehicle Requirements for Top up of Oil and consumables need to be reported to ALD immediately Jobs which do not cover under ALD Assured/Budgeted on actual: 1. Fuel and additives 2. Extra washing & cleaning, Seat Dry cleaning/Upholstery cleaning 3. Polishing, Anti-rust treatment, Teflon coating, 4. Flat tires and parking, Tolls, 5. Repairs arising out of fitment of additional accessories, 6. Repairs resulting from abnormal use of the vehicle or from failure to follow the manufacturers handbook and service book, 7. Faulty use (lack of oil, driving with a warning light on etc) Accessories (refer the ALD Service Guide for more details) Repairs of accessories fitted on the vehicle will be billed separately and is not covered in the contract. Relief Car Service (if contracted) In the event of breakdown or maintenance requirement for which the repairs takes more than one day, we shall provide a relief vehicle of an equivalent category the following day for use within the city limits. This however, shall not apply to accident, damage repairs, theft or total loss cases unless specifically contracted for

We at ALD would like to wish you safe driving and a happy motoring experience

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